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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Classic
Potentially inappropriate medications defined by STOPP criteria and the risk … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in … July 29, 2020
Strategies to reduce the risk of iatrogenic illness in complex older adults
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psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study
June 01, 2022 - consequences for patients (e.g., less attention, suboptimal documentation and communication , higher risk … Citation
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Surgery is in itself a risk … September 2, 2020
Inappropriate hospital admission as a risk factor for the subsequent … November 25, 2020
Expanding frontiers of risk management: care safety in nursing home
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Safe obstetrical care can be compromised by a variety of controllable risk factors, such as communication … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk … May 21, 2009
Patient-related factors associated with an increased risk of being a reported … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - Overprescribing of opioids for acute pain (such as post-surgical pain) can increase the risk for long-term … Related Resources
Patient Safety Innovations
Risk … Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk
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psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
January 19, 2022 - elderly patients in Ireland found that they were frequently prescribed medications that increased their risk … December 21, 2022
Opioids and falls risk in older adults: a narrative review. … 2020
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Initiative to deprescribe high-risk … November 2, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - indicate that more comprehensive discharge interventions may be necessary in order to reduce the risk … Related Resources
Impact of pharmacist involvement in the transitional care of high-risk … August 22, 2012
Hospital discharge documentation and risk of rehospitalisation. … Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk
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psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
February 21, 2018 - improvement intervention changed organizational culture, adherence to evidence-based practices, and risk-adjusted … hospitals, 6 demonstrated improvements in culture, and these same hospitals reduced their AMI mortality risk … The hospitals without culture change also had no significant change in AMI mortality risk. … The study did not have a concurrent control group to account for secular trends in AMI mortality risk
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psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
February 10, 2021 - Opioids are known to be high-risk medications, and unsafe prescribing practices are common. … Veterans Affairs medical centers used an electronic dashboard to provide feedback to clinicians about high-risk … Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk … Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk
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psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
August 18, 2021 - March 2, 2011
Surgical glove perforation and the risk of surgical site infection. … November 29, 2023
Identifying hospitalized patients at risk for harm: a comparison of … nurse perceptions vs. electronic risk assessment tool scores. … Patient reported receipt of medication instructions for warfarin is associated with reduced risk
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psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
December 31, 2012 - A closer look at associations between hospital leadership walkrounds and patient safety climate and risk … A closer look at associations between hospital leadership walkrounds and patient safety climate and risk … leadership walkrounds participation was strongly associated with positive safety climates and greater risk … A closer look at associations between hospital leadership walkrounds and patient safety climate and risk
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - Elderly patients are at greater risk of experiencing adverse drug events than the adult population … The risk of potentially inappropriate prescribing increased after hospital discharge, even when using … July 10, 2019
Fixed-dose combination antihypertensives and risk of medication errors. … December 14, 2022
What is the medication iatrogenic risk in elderly outpatients for chronic
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - order entry , medication errors are a continued problem in acute care settings, particularly in high-risk … Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk … December 16, 2020
Analysis of risk factors for adverse drug events in critically ill … 29, 2009
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Intensive Care Units
Risk
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psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
November 04, 2020 - September 15, 2021
Risk factors for clinically relevant deviations in patients' medication … February 1, 2023
Opioids and falls risk in older adults: a narrative review. … April 20, 2022
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk … September 12, 2018
A method to identify pediatric high-risk diagnoses missed in the emergency
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digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
June 16, 2021 - (3:30-3:35)
Realization of the Vision Brings Risk
IT Dependency and Value
eHealth – Realization … of NHIN
Time
RISK
Stage 3: The Digital Doctor
Patient ownership of record
Integrated EMR available … clinical care
“Departmental” systems
Private networks
Decision making as an “art”
Confronting Risk … MD
703 575-7209
Kathleen.a.mccormick@saic.com
UNKNOWN-2.vsd
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Vulnerability Risk
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration … outcomes in surgical patients, and found no clear relationship between perceived safety culture and risk-adjusted … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration
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psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
July 02, 2019 - Study
Dual health care system use and high-risk prescribing in patients with dementia … Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study … Prior research suggests that polypharmacy in patients with dementia may increase the risk of functional … Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study
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psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - older, diagnosed with heart disease, and have an increased number of ambulatory visits were most at risk … June 12, 2019
Alternative medications for medications in the Use of High-Risk Medications … January 22, 2016
Reducing the risk of adverse drug events in older adults. … June 22, 2009
Risk of medication errors at hospital discharge and barriers to problem
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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … patient safety from information sources within an acute hospital: a step on the ladder of integrated risk … August 2, 2010
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See More About The Topic
Hospitals
Risk Managers
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - hospital were analyzed to identify if disparities exist and to create a model for identifying patients at risk … Race/ethnicity was not associated with the risk of experiencing an NSI. … readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk … 2024
The impact of adding a 2-way video monitoring system on falls and costs for high-risk
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Resources
Patient Safety Innovations
Combined Proactive Risk … Improving Diagnostic Safety and Quality
April 26, 2023
Safety work and risk … trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk … More
See More About The Topic
Hospitals
Facility and Group Administrators
Risk